Abstract

Heraclitus of Ephesus (535-475 BC) was a Greek philosopher who stated : "There is nothing permanent except change". This is an apt description of the current state of diabetes diagnosis, in the light of the proposal by the American Diabetes Association to include HbA1C as a diagnostic criterion. This proposal has generated a vociferous response, including a statement from the SEMDSA executive committee published in this issue of JEMDSA, as well as a number of studies examining the diagnostic accuracy of HbA1C.